Individual
KAILA FULKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
52856 HAYES RD, MACOMB, MI 48042-3507
(586) 697-5272
Mailing address
52856 HAYES RD, MACOMB, MI 48042-3507
(586) 697-5272
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
2902020171
MI
Other
Enumeration date
06/07/2022
Last updated
06/07/2022
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